HomeMy WebLinkAbout0153808 - Electric (svc chg) r CITY OF OSHKOSH No 153808
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 710 BAY SHORE DR Owner YVONNE R SCHAELE Create Date 09/07/2012_
Contractor LUXURY ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp O N/A Type • Overhead Q Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR/City rehab/Service change along with new panel. Install outlet for water heater. **check#1663
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Otir Date 12/04/2012
Ei Permit Voided Parcel Id# 0806050000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 6071 SPRINGBROOK RD OMRO WI 54963 -8227 Telephone Number (920)685-6270
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE'.VATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE /(;2/- /02
JOB ADDRESS 7/0 6,,4y Starke U/`
OWNER k-1/4-4..)/ 5-C.A.t e /e
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CONTRACTOR 4,Cuf-y /e- �c . /./,'_C-
CHECK a ALL APPLICABLE
USE CATEGORY
ASingle Family ❑Duplex ❑Multi-Family ['Rental ['Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts {moo /07/0 Receptacles# Circuits#
Phase /
Amps /co Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
DMotors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE �t°,'-err e -1/ �e /,c f/7/ A-/ectil
r
VALUE(Including labor and all materials includi light fixtures) $ IVJ°10 J
MASTER ELECTRICIAN _÷ r%4
3/02